HomeMy WebLinkAbout32828-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32265
Date: 03/27/07
TIllS CERTIFIES that the building ADDITION
Location of Property: 2465 ELIJAHS
(HOUSE NO.)
County Tax Map No. 473889 Section 108
LA
(STREET)
Block 4
MATTI TUCK
(HAMLET)
Lot 7.14
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 19, 2007 pursuant to which
Building Permit NO. 32828-Z
dated
MARCH 22, 2007
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to THOMAS P & JENNIFER L FOSTER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTII APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
.~t~
uthOY1Zed Slgnature
Rev. 1/81
Form No.6
TOViN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of 1% Icad.
5. Commercial building, industrial building, multiple residences aud similar buildiugs and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-Histing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certifieatc of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. Certificate ofOeeupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwellill~ $25.00,
Swinunin~ pool $25.00, Accessory building $25.00, Additions to accessory buildin~ $25(111. BUSUIl',"cs $50.00.
2. Ccrtifical~ ofOCCUP<lIlCY on Pre-existing Building - $100.00
3. Copy ofCenificate ofOecupaney - $.25
4. Updated ('ertilleatc of Occupancy - $50.00
5. Temporary Certdlcatc of Occupancy - ReSidential $15.00, CommlTcicd $15.00
Datc _ 3_-:)lQl
New Construction: _ __ Old or I're-existing fluilding: __
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Location ofFropcrty _ __:_~ _____ Ell J~..2...~-A
HOllse No. ..... Street
Owner or Owners of Pnlpcl'ty: Ih'CJ0'\C, s,,__ f~' :;-tC\<
Sufj(,lk County Tax Map No 1000. Section lo_'?,____ Block
(check one)
.-=~_0\~\Ck:___
I Lt,nlct
eJ
101
I.t Lf
Subdivision Filed illap.
Permit No. _ '>-:).. C:+'L.lJatc of Permit":? -;) ),- 0'1 Applicant
Lot
Health Dcpt. Appro\al: _
Underwriters Appro\al:
Planning Board Appruval:
Request f(Jr:
Temporary Certl ficate ___
Fmal Certificate:
x.
(check (IlIl')
Fee Submitted:.$ __~ '5 _-DO
(jD -b; ~)...")..,G<
Q;.C Idd-~l
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Appltcant Signaturc
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
32828 Z
Date MARCH
22, 2007
Permission is hereby granted to:
THOMAS P FOSTER
2465 ELIJAHS LA
MATTITUCK,NY 11952
for
"AS BUILT" DECK ADDITION AS APPLIED FOR
at premises located at
2465 ELIJAHS LA
MATTITUCK
County Tax Map No. 473889 Section 108
Block 0004
Lot No. 007.014
pursuant to application dated MARCH
19, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 22, 2008.
Fee $
400.00
/ . /'~ /
',,/~~.
Authorized Signature
ORIGINAL
Rev. 5/8/02
3 ;;>-1\ r~ ""2-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING tx:1 FINAL I!e;
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
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C- 0,
REMARKS:
()
DATE .3 - ?- F - 07
INSPECTOR ~~
3:1-'l ~~ Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
0<1 FINAL f{.,
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
~a
DATE 3 - ~7 - 0'7 INSPECTOR ~ ~
\~ o/'1U1~ ~ p\ ' ~C=uJLJ
f ?t r-6 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING p<!FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONS'mUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
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DATE .3-,;;-}-~ol INSPECTOR ~.~
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7 JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
_.-J. (631)298-7116
To: Town of South old Building Dept.
Re: Foundation! Framing Inspection
Tom Foster
2465 Elijahs La.
Mattituck, NY 11952
To Whom It May Concern:
After a Foundation and Framing, inspection was preformed on the above mentioned as
built dech, it is deemed that all work performed was completed to plans and meets all
state and local codes at the time of construction. Any other questions please call.
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Sincerely
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James J. Deerk~ski '
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FIELD INSPECTION REPORT
FOUNDATION (1ST)
FOVNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE EN'ERGY CODE
FINAL
DATE
COMMENTS
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PERMIT NO.
~.w',~ 0
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying')
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN-OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId/
31->. v, 20 07
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3IrK20~
I
Examined
Approved
Disapproved ale
Mail to:
qfy.1200(
,
Phone:
Expiration
h!.JL
/ Building Inspector
lAR 1921
APPLICATION FOR BUILDING PERMIT
Date .s - 1 q - D '7
,20DI
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a CertifIcate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant a!,'Tees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
,/J rl'Yb
(Signature of applicant or name, if a corporation)
:;)C1b-:S- Z:l; r'h'.s )..t:>,,,,,, (f)f>4.~.i."(k
MaIlmg address of apphcant) \ \ C,C;- .;;l.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
O~Ner
Name of owner ofpremises-TY\{vY\~c; <1 ~ 0""~~ R~4U
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location ofland on which propo~ed :-vork will be done:
&-IhZl O'fh1 /..IJ/l^
House Number St eet
fVJ" l( Ib.."/,
Hamlet
County Tax Map NOt 1000 Secti?n i D '8
Subdivision [1'J ~ ~} I!J"'-r [~tc-6-v .,u: I
(Name)
Block DLf
Filed Map No.
bel? 5"
-,
Lot /.
Lot
IJj
1/
2. State existing use and occupancy of preRises and i ended use and occupancy of proposed construction:
a. Existing use and occupancy ti-:.,'
b. Intended use and occupancy ::S un D:rb1\\ (1<..." '4
..,)
~~(;;)
,
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
. d \ -, .', . ~<)
4. EstImate Cost ::>. ~>::>;::).
Addition
Other Work
'V
Alteration
5. If dwelling, number of dwelling units
If garage, number of cars
Fee~uv.-c>o
(To be paid on filing this application)
Number of dwelling units on each floor
(Description)
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
" "I
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
,
9. Size of lot: Front (L><(, .J'V
Rear ,~ \ :> '"
Depth ;)-<) "'6
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated R q D
12. Does proposed construction violate any zoning law, ordinance or regulation? YES _ NO~:
13. Will lot be re-graded? YES_NO .x Will excess fill be removed from premises? YES_NO.x
14. Names of Owner ofpremises'1'h""?,,o; 15}1v Address r)<I/J - ti. J /J~ I, Phone No. (,c') I ' ~)/- r)cD.t
NameofArchitect~"'...'-,~ Q..D,I.,,<:lr: Address;;?W t:le..(i)(ll~ PhoneNo f-/j)M~l."')lb
Name of Contractor 'lfiJ"'1/7> t::-J')fv- Address ~ll b-<; 'f) 1 ~i" Phone No. !:;")) q".,\. ,,~'JL\
~ )
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ()(
* IF YES, SOUTH OLD TOWN TRUSTEES & D.E.e. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO-2<L-
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
ST ATE OF NEW YORK)
SS:
COUNTY or )",,;:;: c U "-.
-n '-' 1'1-1 /'l <:; i- J S ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
/7' ./-f... day of /Yt C-<-^- c...L 20 0 (
~J~)~' 4/,~~
Notary Public
/(f~
Signature of Applicant
!'-1>9IVIV,/VQ
LINDA S. WlBMT
Notary Public, State of New Yo/Il
No. 4948506
Qualified i~ Suffolk Couzonty ,po I(
C/ln1Illinion EICpires March '-
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_I. fllnlllar rtlth I". STANDARDS FOR APPROVAL
~ONSTRUCTfON OF SUBSURFACE seWAGE
:AL SYSTEMS FOR SMiLE FAMfL Y RESlDCNCCS
..,/1 .. abide by I". con4ff0n6 ..1 I(Nth ",.,.. ami on the
pennlI 10 cOMlruel.
The Iocallons of web and c...pool6
.hown her.on are from I1eId ob6erllalJon.
and or from data obtained from other..
ANY AL 7EJIA TION at ADDITION TO .". at9KY 1$ A lIIICILA TION
OF a"TION no. OF THf:,.." )'QIC STAn DJUCATION LA'"
OW!)-f AS N1f lIS:nt:1II .,... ~.lJH_ & AU. ClIII'Tl'JlQA7JlM
~~"L~_Bfl.i'r~~QI
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~:w 1ITH"'"ALlIlD.'" -0.
T .Y AND AU. A otrI ~
u..r. AMI/H~~""'Yln::I:~ llCAND ,,0 \\\(>.11
e,
ELEVATIONS ARE REFERENCED TO N.&v.o. 6;
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<<:DHS REF # R70 - 97 - 0714 ~f-~o
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AREA = 40,73Q Sq. Ft.
SURVEY OF
LOT 11
"ELIJAH'S LANE ESTATES, SECT.
FI.ED FEB. N, .74 FI.E NO. tJOtIIS
A TAlA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
7fJO(J - 1011- 04 - 7. N
SCALE 7" = 40'
AJNE 7, 7997
SEPT. 2, 7997 ( r""""""",-f/;")
SEPT. B. 7998 ( final )
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CE:RTIFICD TO.
THOMAS P. FOSTER
NORTH FOR/( SA"'"
CHICAGO TITLE INSURANCE COMPANY
COMPANY OF NEW YORK
TITLE # FNT 97 1/845
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. Y.S. LlC. NO. 496/8
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(5/6J." - 020
P. O. BOX 909
/230 TRA VCL& STREET
SOUTHOLD, N. Y. I/9n
97 - 210